DR. MARYANN NUESSE D.O. NPI 1689633455

NPI Information

NPI: 1689633455
Provider Name: DR. MARYANN NUESSE, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
867 S TUSTIN ST
ORANGE, CA
ZIP 92866
Phone: (714) 771-1420
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DR. Maryann Nuesse, D.O. is an adult medicine family medicine in Orange, CA. The provider is definition to come. DR. Maryann Nuesse, D.O. NPI is 1689633455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

867 S TUSTIN ST
ORANGE, CA
ZIP 92866-426
Phone: (714) 771-1420
Fax: (714) 771-6918

The NPI 1689633455 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	20A7305	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W14903	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP MEDICARE NUMBER
2	H13082	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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